| NPI | 1053925099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARESA HERMENA MCCRAY Clinical Director And Owner 843-625-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |