| NPI | 1154780781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA BRYAN-GARDNER Substance Abise Counselor 843-255-6007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |