| NPI | 1417765801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA EVONNE JOHNSON FORD Owner/Therapist 843-206-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-04-29 |