| NPI | 1801131420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E DENNISON MILLER CEO 803-799-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |