NPI | 1154183499 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSETTA SUMTER-COBB Owner/Clinical Director/Therapist 803-413-5586 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-01-23 |
Last Update Date | 2024-06-07 |