NPI | 1487928313 |
---|---|
Entity Type | Organization |
Authorized Contact | UT UYEN N VANHOOGEN Owner 843-267-4684 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5368) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2013-04-16 |