| NPI | 1407303522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DIANE HAMOLIA Owner 843-270-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: SC APN113) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |