| NPI | 1619654639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUNDRA D CROSS Owner 843-212-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2024-08-27 |