| NPI | 1447923388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE ROXANNE TOLBERT Owner/Manager 803-802-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 221700000X Art Therapist | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |