| NPI | 1134631443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LOVETT Counselor 843-446-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2022-09-05 |