| NPI | 1366293961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIYAH ARCHIE CEO 803-201-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |