| NPI | 1508235110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE H BARAKAT Business Associate 803-261-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 261QHO100X) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: SC 261QM0850X) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC 261QM0855X) | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |