| NPI | 1679063424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEA CHRISTINE MABLE Owner 803-429-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10640) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2021-07-20 |