| NPI | 1144109190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE GROSS Practice Co Owner 843-882-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |