| NPI | 1679274815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE E GRIFFIN Lpc 843-536-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |