| NPI | 1740419324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J MESIANO Part Owner 803-434-5376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 5729) |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2009-07-05 |