| NPI | 1083432967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMINE MCFADDEN Owner 803-713-5283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |