| NPI | 1134654494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE CANNADY Chairman 843-549-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X (Licence: SC 224240) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: SC 224240) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |