NPI | 1174086672 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH K STERTZ Owner 803-507-4970 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2019-04-11 |