| NPI | 1952929754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA DOUGLAS Owner/Clinical Director 843-814-5782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |