| NPI | 1215311550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAURUS D SANDERS Owner 803-250-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6144) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 1512089) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-12-12 |