| NPI | 1932788486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMETRIE SINGLETARY Administration 843-424-7508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |