| NPI | 1093139479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE KUYKENDALL Owner/Administrator 864-608-4578 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |