| NPI | 1154679009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LECOLE JOHNSON SANDERS Owner 843-960-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 8398) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2025-01-29 |