| NPI | 1700432606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIQUIA T. SIMON Chief Executive Officer 843-616-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |