| NPI | 1063275972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY LANGHORNE Owner 803-339-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-08 |