| NPI | 1275297004 | 
|---|---|
| Doing Business As | PICN | 
| Entity Type | Organization | 
| Authorized Contact | SIDNEY NELSON Medical Director 843-412-5548 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 251B00000X Case Management | |
| Enumeration Date | 2021-10-27 | 
| Last Update Date | 2021-10-27 |