| NPI | 1447611488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BEDFORD Owner/Counselor 803-250-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 5622) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |