NPI | 1528822178 |
---|---|
Entity Type | Organization |
Authorized Contact | CIARA MONIQUE SUROS Owner 803-306-2458 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2024-02-13 |
Last Update Date | 2024-02-13 |