| NPI | 1720556376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HILL Program Director, Co Owner 864-655-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |