| NPI | 1861045767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JONAS COATSWORTH CEO/Chief Of Clinical Services 843-806-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2020-12-16 |