| NPI | 1841863917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHANE PARNELL Ownder 864-554-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |