| NPI | 1124344486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY L REYES Social Worker/Family Therapist 803-817-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 006970) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-08-26 |