| NPI | 1801198072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BOWMAN Licensed Professional Counselor 803-556-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 4566) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |