| NPI | 1093373813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LANG Owner 843-491-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-06-13 |