| NPI | 1902647928 |
|---|---|
| Doing Business As | LIVEOAK MENTAL HEALTH THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN MCKEOWN CFO 843-847-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |