| NPI | 1801926498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL PERNELL IVEY Human Service Speciallist Ii 843-317-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |