| NPI | 1659763902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIAN JEFFCOAT Principal COO 843-860-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9165) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |