| NPI | 1912579921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTA WILLIAMS Mental Health Counselor 843-364-4374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2021-07-11 |