| NPI | 1154558724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA SAFIYA NETTLES-FELDER Owner 803-984-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 5431) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |