| NPI | 1881207652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME TILGHMAN Director 843-719-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |