| NPI | 1235435272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA RENA' BRANON Clinical Director 803-546-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 4993) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |