| NPI | 1548604606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOLPHUS Owner/Executuve 803-526-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |