| NPI | 1992808471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA DUERKOP ROBBINS CEO Owner 843-899-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC 1091) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |