| NPI | 1912970674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C HENDRICKS Medicaid Compliance Coordinator 864-260-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 103T00000X Psychologist |
| 163WS0200X Registered Nurse, School | |
| 164W00000X Licensed Practical Nurse | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-08-22 |