| NPI | 1174932727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA WESTON FEATHERSTONE Clinical Social Worker 803-920-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC C007499) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |