| NPI | 1659672806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE EDWARD MCCARRELL Clinical Director 864-283-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5217) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2011-02-14 |