| NPI | 1427130533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. MARTINSON Director 864-250-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 3469) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |