| NPI | 1598464166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENNDY NICOLE DUPKOSKI Director 803-210-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-03 |