| NPI | 1710301155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS THOMAS Social Worker 803-732-5658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 4973) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2016-09-12 |