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 |