| NPI | 1548647647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CHANTE WILDY Owner 803-201-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6057) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5046) |
| 104100000X Social Worker (Licence: SC 7093) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |