| NPI | 1942943618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA KATHLEEN MCCORMICK Office & Billing Manager 864-920-2527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |