| NPI | 1235999590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNETTE LLOYD Chief Of Staff 803-536-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-08-12 |