NPI | 1679808141 |
---|---|
Entity Type | Organization |
Authorized Contact | MARI E. BLOING-HART Psychotherapist 803-260-1171 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 6070) |
Enumeration Date | 2009-10-16 |
Last Update Date | 2009-10-16 |