NPI | 1639851132 |
---|---|
Entity Type | Organization |
Authorized Contact | CELENA NICOLE SHIVERS Owner 803-979-6171 |
Organization Subpart ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2023-08-03 |
Last Update Date | 2023-11-20 |