| NPI | 1669126397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDALLAS MASON BROWN Owner And CEO 864-414-9324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |