| NPI | 1538499363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCOT ROTUNDA Owner 843-556-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 4881) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |