| NPI | 1124586524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ELLEN HILL Program Director/Co Owner 864-887-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |