| NPI | 1447583984 |
|---|---|
| Doing Business As | CIRCLE PARK BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | RANDALL CRAIG COLE CEO 843-665-9349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: SC 101Y00000X) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-11-06 |