| NPI | 1265947865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN PERRY Clinical Director 843-214-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6742) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |