| NPI | 1518257328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN FRASER Counselor 843-520-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5152) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |