| NPI | 1518754845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELIZABETH WILSON Board President 864-237-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |