| NPI | 1235832833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS COLE-MORTON Owner 803-397-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-10-13 |