| NPI | 1669727566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A UPSHAW President 843-754-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: SC 18101) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-09-18 |