| NPI | 1992163067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA GREEN BURGESS Owner 843-230-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |