| NPI | 1023335783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL BOWMAN Excutive Director 843-317-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5091) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2024-01-18 |