| NPI | 1215243803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE M COLES Executive Director 803-699-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2014-07-24 |