| NPI | 1639575715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA CROSDALE Owner 864-546-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |