| NPI | 1932503703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN LEE BEEBE Counselor 843-685-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5407) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2026-02-04 |