| NPI | 1467931972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ROBINSON BROOKS Chief Operating Officer 843-300-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CO PENDING) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |