| NPI | 1770013575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MCSHERRY Owner 803-210-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0904009466) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0904009466) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 0904009466) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |