| NPI | 1124807847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCCRAE CARROLL Therapist 803-450-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |