| NPI | 1629746078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MICHAEL GLASS Owner/Mental Health Counselor 843-503-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-10 |