| NPI | 1225776198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ANDERSON Owner 864-275-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2022-05-21 |