| NPI | 1801205265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WYLIE Director 803-530-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2014-08-10 |