| NPI | 1013375534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIRIEKA BROWN BROWN Owner/Operator 843-697-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: SC 4674) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-12-27 |