NPI | 1033904982 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE JOHNSON Owner 803-526-5227 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2025-04-11 |
Last Update Date | 2025-04-11 |