| 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 |