| NPI | 1124686407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HANKS Owner 803-338-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |