| NPI | 1851049753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDERSON LANE Executive Director 803-999-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |