NPI | 1518563329 |
---|---|
Entity Type | Organization |
Authorized Contact | LASHUNDA SMITH POPE Owner 803-849-2925 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2020-12-07 |
Last Update Date | 2020-12-07 |