| NPI | 1184224446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMETRIE SINGLETARY Administration 843-424-7508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |