| NPI | 1083765283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON F. WORRELL Counselor 843-875-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 295) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |