| NPI | 1295241255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA PATRICIA HARRIS Owner 803-479-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 6232) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |