| NPI | 1932373511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD A JACOBSON President 864-546-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: SC 1110) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2010-01-04 |