| NPI | 1003128182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOETTE KIZER CEO 843-851-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC SR0008195001CC1) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |