| NPI | 1023411931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURYANI SUNDJOJO CAPPS Executive Director 843-524-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |