| NPI | 1174317754 |
|---|---|
| Former Legal Business Name | GROUNDED STARS LLC |
| Entity Type | Organization |
| Authorized Contact | KIERRA ELSIE WATSON Chief Administrative Officer 803-280-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174H00000X Health Educator |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |