| NPI | 1154388924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD NEVIL MCDANIEL President Administrator 843-763-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: SC OTP059) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |