| NPI | 1457168163 |
|---|---|
| Doing Business As | KINTSUGI BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KATHERINE MAI Psychotherapist 843-410-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-18 |