| NPI | 1720663909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA A WILLIAMS Licensed Professional Counselor A 803-673-8608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |