| NPI | 1639686827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSLYN ANIKA ANDERSON CEO/President 803-324-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2024-03-28 |