| NPI | 1134982200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MACKAY-PEARSON Oner 843-415-2887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |