| NPI | 1821337098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY FOULKES-JAMISON Executive Director 803-407-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: SC PY803) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |