| NPI | 1407251341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DOYNE FAILING Owner And Administrator 843-694-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |