NPI | 1518023076 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES FURTICK Director 803-516-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: SC 4068) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2023-04-27 |