| NPI | 1912515537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE B STANLEY Licensed Clinical Social Worker 864-453-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |