| NPI | 1093885832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GERALD MCGOURTY President 803-396-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 3436) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |