NPI | 1356997746 |
---|---|
Entity Type | Organization |
Authorized Contact | ERVIN BEASLEY Owner 803-318-7272 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2019-08-13 |
Last Update Date | 2019-08-13 |