| NPI | 1801565932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPERT JAMES MCCORMAC President 864-527-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2021-09-11 |