| NPI | 1255305876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN B RAE Director 843-876-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 163WL0100X Registered Nurse, Lactation Consultant | |
| 364S00000X Clinical Nurse Specialist | |
| 101Y00000X Counselor | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2011-11-30 |