| NPI | 1578772976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL N PISTONE Owner 803-324-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: SC 26858) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 2837) |
| 1041C0700X Social Worker, Clinical (Licence: SC 6904) | |
| 106H00000X Marriage & Family Therapist (Licence: SC 2600) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-09-11 |