| 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 |