| NPI | 1710768528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN COLE Founder & Provider 843-729-9138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-02-05 |