| NPI | 1679786347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD WILSON EVANS Owner 803-951-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 0309033) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |