| NPI | 1982389623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIMA DUPONT Counselor 843-929-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |