| NPI | 1750406476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME TILGHMAN Director Of Clinical Services 843-719-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 3396) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |