| NPI | 1295651115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVA MONETTE BAILEY Owner 843-496-8279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-06-25 |