| NPI | 1083895403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN KUTNER CLARK Owner 843-449-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC LISW-CP 5739) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |