| NPI | 1679271290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHELLA GORE Licensed Professional Counselor 843-212-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |