NPI | 1528457561 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA ANN KING CEO/Chief Clinical Officer 864-888-7310 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: SC LPC 2838) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2019-03-07 |