| NPI | 1619472248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HELMS Owner 803-569-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 1292) |
| 133V00000X Dietitian, Registered (Licence: GA LD002881) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-01-24 |