| NPI | 1962277541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIQUA LESESNE Owner/Practitioner 803-460-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-11-23 |