NPI | 1821255050 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY D. MALONE President 803-779-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: SC 17355) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2008-06-06 |