| NPI | 1720118789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE FORD JAMES Human Service Coordinator I 843-317-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |