| NPI | 1467981688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PARTRIDGE Owner 843-236-6036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2018-05-26 |