| NPI | 1598292393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN LAMONT ALEXANDER Behavior Specialist 843-442-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: SC 14352) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 507895) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |