| NPI | 1821875428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS B. COLLINS Mental Health Counselor 843-412-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |