| NPI | 1245527001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTIE S BRODERICK Executive Director 864-404-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 1305) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5150) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-09-06 |