| NPI | 1659800167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MYERS BRIDGES Owner 803-713-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-10-06 |