| NPI | 1891303988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA R JENKINS Owner 843-557-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2021-03-19 |