| NPI | 1851835086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MACCHIO Credentialing/Billing Manager 843-299-1554 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 905318) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |