| NPI | 1053857102 |
|---|---|
| Former Legal Business Name | LOWCOUNTRY BRIDGES BEHAVIORAL SUPPORT SERVICES, LL |
| Entity Type | Organization |
| Authorized Contact | CATHERINE M CARBONE Clinic Director 843-718-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC BL005424-12-2016) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |