| NPI | 1245875004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA BRUNSON-SAMUEL Clinical Social Worker 864-541-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |