| NPI | 1144569872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMORRIE LASHAUN EVANS Social Worker 803-896-4753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 8850) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |