NPI | 1033828587 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA COYLE HARGROVE Owner/Lpc 864-630-4195 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-11-22 |
Last Update Date | 2022-11-22 |