| NPI | 1184855876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE GRABER LAZAROVICI President 843-849-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC 31462) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2010-07-12 |