| NPI | 1770797029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA NAVA Psychologist/Owner 843-216-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC 959) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2016-01-20 |