| NPI | 1548606072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVON V WIGFALL Director 843-901-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |