| NPI | 1487363586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HOVEY Partner/Provider 843-708-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |