| NPI | 1902403116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA B. GANTT-GORDON Co Owner 803-250-5198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |