| NPI | 1710319660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DEHOFF MASSEY Clinical Director 864-201-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 6992) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |