| NPI | 1932775640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LASHAWN FOOTMAN Owner 803-479-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |