NPI | 1619493368 |
---|---|
Entity Type | Organization |
Authorized Contact | RASEL L. PALMER Managing Partner 803-722-4975 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
163WP0808X Registered Nurse, Psych/Mental Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2017-08-15 |
Last Update Date | 2025-01-13 |