| NPI | 1083622013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA K. POWELL Medical Provider COO Rdinator 803-296-2548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 1043) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |