| NPI | 1316569213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXIE MEDLEY Licensed Professional Counselor 864-804-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |