| NPI | 1457770661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARIE ADKINS Compliance Director 864-243-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |