| 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 |