| NPI | 1073906582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOODROW MENTAR Managing Partner 803-979-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| Enumeration Date | 2015-03-08 |
| Last Update Date | 2015-03-08 |