| NPI | 1871703819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY EASTERLING BATTLE Therapist 843-347-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: SC 3409) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: SC 3716) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |