| NPI | 1215475884 |
|---|---|
| Doing Business As | MARTHA K STEWART |
| Doing Business As | STEWART BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARTHA KAY STEWART Owner 843-407-5419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2020-06-16 |