| NPI | 1134641855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DEXTER MEACHEM Manager 803-829-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8737) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |