| NPI | 1669220364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMANI WILFORM Owner 803-306-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |