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