NPI | 1376724070 |
---|---|
Entity Type | Organization |
Authorized Contact | RENDA KAY FAULKENBERRY President/Therapist 803-366-2525 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 6922) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2007-12-11 |