| NPI | 1316548241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SIMONE FIELDS Authorized Official/Owner 864-504-7684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2021-01-25 |