NPI | 1205204138 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CABANISS Owner 843-817-7077 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 001002367) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |