| NPI | 1225375793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSHULA CANNON Owner 803-361-5249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: SC 85573) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: SC 85573) |
| 251S00000X Community/Behavioral Health (Licence: SC 85573) | |
| 253J00000X Foster Care Agency (Licence: SC 85573) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |