| NPI | 1841818770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA THOMAS-WEST Program Director 843-618-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2021-07-05 |