| NPI | 1215338710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MILLER Exceutive Director 843-871-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 10845) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |