| NPI | 1699169284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PENA Owner 803-406-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YS0200X Counselor School | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |