| NPI | 1982090056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREEMAH MAKYBA STEPNEY Licensed Clinicial Social Worker 843-637-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0904008740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008740) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |