| NPI | 1699325894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA CORDES Counselor, Sole Proprietor 843-509-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |