| NPI | 1215710538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY MORRIS Owner 864-918-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |