| NPI | 1497387179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANETHEA BRYANT-LORD Owner 803-226-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 104100000X Social Worker |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 163WC0400X Registered Nurse, Case Management | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-03-16 |