| NPI | 1043636046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WINDHAM Ar Supervisor 843-629-2483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |