| NPI | 1134556038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LOSCHIAVO Medicaid Director 803-896-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 2286) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |