| NPI | 1831504950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARKE SMITH Director Of Clinical Services 843-697-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |