| NPI | 1720484983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL CHILDERS Owner 864-501-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2023-12-09 |