| NPI | 1447034582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITE H. DUNN Owner 803-260-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |