| 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 |