| NPI | 1053144535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARRA MICHELLE MYERS Therapist 803-236-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-12-19 |