| NPI | 1528437456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER KERRY SUBER Counselor 803-944-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5959) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |