NPI | 1154166270 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWNA MCCAFFERTY Owner / Physician 843-708-0264 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2024-06-29 |
Last Update Date | 2024-06-29 |