| NPI | 1467634485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BREWER OXENDINE Owner 803-983-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: SC 3332) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |