| NPI | 1558840660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAQUANA MACK CEO 803-809-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-04-24 |