| NPI | 1609267822 | 
|---|---|
| Doing Business As | PCBH | 
| Entity Type | Organization | 
| Authorized Contact | SHAKA ABDUL MOUSTAFA CEO/Owner 803-477-7928 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2015-02-10 | 
| Last Update Date | 2015-02-10 |