| NPI | 1528471646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA E WHITE Owner/Therapist 803-727-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 6912) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |