| NPI | 1619939873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN BERRY Office Manager 843-763-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 6767) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2008-02-23 |