| NPI | 1588072326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANDRA CHINAE NEWTON Owner/Therapist 803-524-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 204168) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |