| NPI | 1538981642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA FRY BURNETTE Licensed Psycho Ed Specialist 843-532-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |