| NPI | 1720551070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MICHELLE HUNT CEO/Owner 843-456-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-10-31 |