| NPI | 1912509969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE L LOVE Owner 803-331-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2022-05-03 |