| NPI | 1063243491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY NULL Mental Health Therapist 803-361-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-09 |