| NPI | 1174729248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LYNN LAWHON Counselor 843-875-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 0508174) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 2660) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |