| NPI | 1235536814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BROWN Administrator 843-687-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: SC 7106820802) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |