| NPI | 1164457735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY L TURNER Controller 803-898-8503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-08-26 |