NPI | 1245033083 |
---|---|
Entity Type | Organization |
Authorized Contact | MALINDA PAOLOZZI Practice Owner 843-256-6126 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-03-28 |
Last Update Date | 2025-03-28 |