| NPI | 1356012983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA S STEVENSON Executive Director 864-325-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 171400000X | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |