| NPI | 1902104276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMAR GILLIARD Director Of Office 803-308-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |