NPI | 1972796019 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS FOUNTAIN CRANE President 843-795-3585 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: SC 7808) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2007-08-22 |