| NPI | 1427392026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLES CHRISTIAN Executive Director 843-488-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: SC do not have one) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |