| NPI | 1194430967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA BRANON Owner 803-546-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-18 |