| NPI | 1154796597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE LABBAN MITTMANN Marriage And Family Therapist 864-256-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC 4622) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: SC 4622) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |