| NPI | 1104953835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLICENT JORDAN Owner 843-573-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |