| NPI | 1609381581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY L. MART Nurse Practitioner 843-276-6749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 368) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |