| NPI | 1265682991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HUGH MYRICK Mental Health Service Line Supervis 843-577-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: SC 3578) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |