| NPI | 1033406665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE HYATT Executive Director 843-616-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 9799) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2015-12-16 |