| NPI | 1326763574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY DENISE DAVIS Executive Director/Office /Manager 803-293-5149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |