| NPI | 1225556590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDIE MOORE CLEM Owner/Provider 864-344-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 5617) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |