| NPI | 1063055879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWELL THOMPSON Owner 803-973-0223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2022-05-02 |