| NPI | 1942701792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI MOORE Executive Administrator 864-303-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |