| NPI | 1639051949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI RACQUEL SMITH Owner/Manager 803-561-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-11-12 |