| NPI | 1952763203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE R JAMISON CEO 803-722-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-11-01 |