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 |