| NPI | 1881121689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI HOVER Related Services Coordinator 843-899-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |