| NPI | 1679202246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L MIRONES Partner 843-290-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2023-09-06 |