NPI | 1205443066 |
---|---|
Entity Type | Organization |
Authorized Contact | MELITA THAIS PSYCHOLOGICAL Clinical Psychologist 803-467-9628 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-09-25 |
Last Update Date | 2020-09-25 |