| NPI | 1710972120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERB MATTOCKS Executive Director 803-649-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC OTP006) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-05-09 |