| NPI | 1376297150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDREKA WILSON MOFFATT Executive Director 803-524-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |