NPI | 1255703575 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY FORD Executive Director 843-343-4188 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC SC 1449) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2015-11-18 |