| NPI | 1073888400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVANGELA K CRISWELL Business Office Director 843-663-8017 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 3657) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 7136) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |