| NPI | 1972941003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADDRICK LANEIR MIDDLETON Owner 803-563-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC #5466) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 9472) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |