| NPI | 1508278151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L BROOKS Executive Director 803-276-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: SC MR15-102) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |