NPI | 1841553799 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN DAVID BEAUMONT Owner 803-422-0035 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 5017) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5017) |
101YP2500X Counselor Professional (Licence: SC 5017) | |
Enumeration Date | 2012-06-15 |
Last Update Date | 2012-06-15 |