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 | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YP2500X Counselor Professional | |
103TC0700X Psychologist Clinical | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
163WP0808X Registered Nurse Psychiatric/Mental Health | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2017-08-15 |
Last Update Date | 2019-07-19 |