| NPI | 1740884741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WENDELL COPLIN Chief Executive Director 803-220-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |