| NPI | 1982217246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME TILGHMAN Executive Director 843-719-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |