| NPI | 1295504694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOMBEE MARSHALL Owner 803-792-7686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |