| NPI | 1043585839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WELDON FEIGLEY Owner 803-252-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: SC 55) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |