| NPI | 1114799053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIGINIA REEVES Manager 843-247-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-11-02 |