| NPI | 1861876708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L RYLANCE Counselor 843-620-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: SC 6063) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |