| NPI | 1003177395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE O'NEILL Sole Member/Manager 803-619-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9672) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2012-06-03 |