| NPI | 1457845299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA GAULIN Owner 864-982-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |