| NPI | 1083150494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WINKLER Therapist 843-364-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 9399) |
| Additional Taxonomies | 251B00000X Case Management (Licence: SC 9399) |
| 251K00000X Public Health or Welfare (Licence: SC 9399) | |
| 252Y00000X Early Intervention Provider Agency (Licence: SC 9399) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |