| NPI | 1114633252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENA DADOUCH Psychologist/Owner 803-220-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-06-24 |