NPI | 1649034547 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANDA HIGGINS Practice Owner 843-509-6732 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-12 |