| NPI | 1568740769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANNE SULESKI Director 803-521-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4486) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |