NPI | 1205885522 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRYS J. HARRIS Clinical Director 864-968-9687 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC LPC#1204) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC LMFT#1775) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2020-08-22 |