| NPI | 1114322625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN CORBETT Owner 803-361-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 4991) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |