| NPI | 1811165442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL NINA MATTIX Vice President 843-814-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 4770) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2009-06-29 |