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 | 2024-02-13 |