| NPI | 1821852542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LYNN CALDERON Owner 803-200-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2025-03-27 |