| NPI | 1912585977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA NICKENS MCBRIDE Owner 803-316-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-06-05 |