| NPI | 1093977761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ELIZABETH RADFORD Manager 843-379-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: SC DO964) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |