| NPI | 1073994547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON LEWIS ASHFORD Director 803-269-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 4733) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2022-10-04 |