| NPI | 1871130252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH HARBIN Owner 864-760-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |