| NPI | 1326251513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI RICHARDSON BOLDEN Clinical Counselor Iii 843-797-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 1884) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |