| NPI | 1790167393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA FLEMING Licensed Independent Practitioner 843-756-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5489) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1050) |
| 101YP2500X Counselor Professional (Licence: NC S4500) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |