NPI | 1659770857 |
---|---|
Entity Type | Organization |
Authorized Contact | LENNIE S MULLIS Counselor 803-289-4298 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5741) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |