| NPI | 1528822178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIARA MONIQUE SUROS Owner/Clinician 803-306-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 363LF0000X Nurse Practitioner Family | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2025-03-05 |