| NPI | 1780197905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAMAL GIDDINS Owner 803-610-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11123) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |