| NPI | 1851787949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN GAYLE HAGY Member 864-376-2793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC LPC 4041) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |