| NPI | 1235631151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA PEARSON Owner 803-460-8102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6792) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6792) |
| 101YM0800X Counselor, Mental Health (Licence: SC 6792) | |
| 251S00000X Community/Behavioral Health (Licence: SC 6792) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: SC 6792) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: SC 6792) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC 6792) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |