| NPI | 1811297948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA H PACITTI Director 843-757-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4940) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 6634766) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |