| NPI | 1699280644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANYA OGBURU-OGBONNAYA President CEO 803-788-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: SC 18323) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: SC 18323) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-13 |