| NPI | 1366632762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA SHANAE STARKS Executive Director 864-346-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 8810) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |