| NPI | 1063160026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONE SMITH-MORANT Owner/Administrator 843-833-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |