| NPI | 1770037855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE GINA SMITH Clinical Director 803-968-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 5329) |
| Enumeration Date | 2016-08-07 |
| Last Update Date | 2021-01-25 |