| NPI | 1699569632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ROBERTS Owner 864-414-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |