| NPI | 1093263261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PEARSON Clinical Counselor 843-940-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 6229) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |