| NPI | 1285402180 |
|---|---|
| Doing Business As | SOUTHEASTERN CENTER FOR BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | NICK BAGNELL President 803-250-5108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-02-16 |