NPI | 1578772976 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL N PISTONE Owner 803-324-7792 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 2837) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 6904) |
106H00000X Marriage & Family Therapist (Licence: SC 2600) | |
2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: SC 26858) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |