| NPI | 1447633151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA DENISE QUICK Owner/Director 843-353-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2021-03-04 |