| NPI | 1487839890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA H MATTHEWS Owner 843-408-4162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 5667LISWCP) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-04-29 |