| NPI | 1386224954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEGENA LAWRENCE Owner 843-864-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 405300000X Prevention Professional | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |