| NPI | 1295277986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORIS ANN MCKNIGHT License Professional Counselor 843-676-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 2185) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6614) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2017-08-30 |