| NPI | 1093362881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J BEAUCHEMIN Human Services COO Rdinator I 843-347-4888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |