Organization Name: | WILLIAMS CENTER FOR ACHIEVEMNET |
NPI Number: | 1780905521 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HASSAN A SMITH (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 617 Geranium Lane Lyman |
State: | SC US |
Postal Code: | 293659123 |
Phone Number: | 8646364200 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2010 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |