| NPI | 1295190734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY ROMAN Owner 843-582-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11070) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2017-02-21 |