| NPI | 1306280441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANQUAN GIST Operations Director 803-328-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: SC SR-0001017787001-CCI) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |