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 |