| NPI | 1972034619 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RONNIE MCCARRELL Owner/Therapist 864-214-4887 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5217) | 
| Enumeration Date | 2017-03-24 | 
| Last Update Date | 2017-03-24 |