| NPI | 1619021888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON O THOMPSON Executive Director 864-415-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 133) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 1440) |
| 103TC0700X Psychologist, Clinical (Licence: SC 1215) | |
| 106H00000X Marriage & Family Therapist (Licence: SC 134) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |