NPI | 1245644020 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A BASIE Therapist 803-493-7272 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 4675) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2014-06-19 |