| NPI | 1316274228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY P. MCFADDEN Owner 803-740-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC OPT-0097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC OPT-0097) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |