NPI | 1356700041 |
---|---|
Other Name | MATERNAL INSYNC |
Entity Type | Organization |
Authorized Contact | TIFFANY CONYERS Owner, Clinical Director 803-414-4891 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA CSW005601) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA CSW005601) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2016-02-23 |