| NPI | 1477039378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN STREETER President/CEO 803-447-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251S00000X | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |