| NPI | 1902204639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER WHITAKER TOLBERT Owner/President 864-276-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10695) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-11-08 |