| NPI | 1790210169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY REDDOUT Owner, Counselor 843-469-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 6274) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |