| NPI | 1902177520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LOUISE VINSON Owner 843-761-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 4776) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |