| NPI | 1649327891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD MCCARTHY Executive Clinical Director 843-497-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC LPC#1719) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-07-16 |