NPI | 1588987218 |
---|---|
Entity Type | Organization |
Authorized Contact | LOREL HUMBURG Psychotherapist 803-707-8397 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: SC SC6583) |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-04-20 |