| NPI | 1003093733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY JONES-MURRAY Billing & Utilization Director 803-256-7394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2024-11-18 |