| NPI | 1598104424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. ACTON Executive Director 803-399-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |