| NPI | 1124371448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEYSA MARIE JOHNSON CEO/Psychotherapist 843-279-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 7334) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2013-06-18 |