| NPI | 1548031180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN BITNER COO 864-541-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |