| NPI | 1558128520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN COLEGROVE Finance Director 843-365-8884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |