| NPI | 1225299399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GREGORY ORMAND Therapist 803-287-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 8272) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2008-06-22 |