| NPI | 1528715752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRIC O HARRISON Owner 803-218-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2023-03-20 |