| NPI | 1053105502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARLIN SMITH Executive Director 843-212-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |