NPI | 1922329341 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAKA ABDUL MOUSTAFA CEO 803-477-7928 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2010-06-21 |
Last Update Date | 2012-03-14 |