| 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 |