| NPI | 1942065198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA H YOUNG Clinic Director 864-609-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |