| NPI | 1386190288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE ROGERS LARKE Clinincal Director 864-597-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: SC 5222) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-11-07 |