| NPI | 1447571237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREDRICK AYERS Counselor 843-676-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 2460) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |