| NPI | 1932812849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVON JENKINS Counselor/ Therapist 843-379-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |