| NPI | 1174361687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN BITNER Practice Manager 864-274-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |