| NPI | 1104048917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MARIE ELLIOTT Co Owner 843-556-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 3008) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |