| NPI | 1760274732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA THEISZMANN Clinical Social Worker/Therapist 864-720-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |