| NPI | 1083859318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ARCHIE VAN HORN Medical Director 843-347-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: SC 0TP-0100) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |