| NPI | 1508578600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARIE BRYANT VP, Rcm 803-955-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2025-11-14 |