| NPI | 1588816870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA P HOLMES Owner/Clinical Consultant 803-207-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005480) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 8780) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC F0704137) | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: SC 4345) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2011-06-01 |