| NPI | 1043268360 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KACY STEIN Operations Manager 864-962-7491 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 2758) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 130) | 
| 1041C0700X Social Worker, Clinical (Licence: SC 4541) | |
| Enumeration Date | 2006-05-05 | 
| Last Update Date | 2024-05-23 |