| NPI | 1619493368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASEL L. PALMER Managing Partner 803-722-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2019-07-19 |