| NPI | 1942985445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS HENDERSON Consultant/Co Owner 803-565-9742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |