| NPI | 1164142600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIKA GRIFFIN Director 803-320-7294 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |