| NPI | 1386980910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R NIXON Counselor 843-455-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 4625) |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2013-01-01 |