| NPI | 1104581990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA MOOREHEAD Member 803-546-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2023-04-18 |