| NPI | 1558576769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLIE SMITH MOSKEL Counselor 803-750-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 4043) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |