| NPI | 1497784276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK LAVON HIGHTOWER Executive Director/CFO 864-230-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 4714) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 4714) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: SC 4714) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |