| NPI | 1619349453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA AVERILL Clinical Director 843-654-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 1-15-19527) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |