| NPI | 1356558019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY ENGRAM BARRINEAU Director & Psychotherapist 843-763-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 806) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 103) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2016-12-15 |