| NPI | 1053201020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DION KIDD CEO/Owner 803-741-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |