| NPI | 1932708831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELLEN HILL Program Director 864-887-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |