| NPI | 1952438376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W BARWICK Director 803-791-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 6694) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4752) |
| 101YP2500X Counselor, Professional (Licence: SC 2754) | |
| 106H00000X Marriage & Family Therapist (Licence: SC 217) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |