NPI | 1427672773 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARIE BRYANT VP, Rcm 803-955-6655 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM2800X Clinic/Center, Methadone Clinic | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2020-06-02 |
Last Update Date | 2025-07-17 |