| NPI | 1487051322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA LEE EDGINGTON Therapist 864-356-3184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 4591) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |