NPI | 1013893965 |
---|---|
Entity Type | Organization |
Authorized Contact | LADAVIA TIARA SHONTRELL PRESCOTT Owner/Lead Therapist 803-240-8251 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-08-14 |
Last Update Date | 2025-08-22 |