| NPI | 1821525551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MACCHIO Credentialing/Billing Manager 843-299-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 906329) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |