| NPI | 1598535551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN TYLER Licensed Professional Counselor 843-754-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |