| NPI | 1326643461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ASHLEY ALLEN HERRING Clinical Therapist 864-300-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2024-11-06 |