| NPI | 1720762503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L CRAWFORD Owner 843-945-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-08-31 |