NPI | 1366116485 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY DANSO Managing Member 803-902-1659 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-08-03 |
Last Update Date | 2024-06-12 |