| NPI | 1316481799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ELIZABETH SHORT Counselor 864-626-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5590) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |