| NPI | 1447512892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALBIR COSHAL President 803-771-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC 14752) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |