| NPI | 1265433619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE P DAWKINS Executive Director 864-429-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC OTP-045) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2009-08-18 |