| NPI | 1083184576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE MOORE Director Of Operations 843-718-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |