| NPI | 1386190288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE ROGERS LARKE Clinical Director 864-597-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health (Licence: SC 5222) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2025-07-29 |