| NPI | 1649843228 |
|---|---|
| Doing Business As | SOUTH COUNSELING |
| Entity Type | Organization |
| Authorized Contact | AUDREY SOUTH Owner 385-220-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |