| NPI | 1437931003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA B RUSHING Owner 864-232-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-11-07 |