| NPI | 1255674941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRA S STEWART Owner/Manager 864-681-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC SC9621) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |