| NPI | 1952479552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE M LOPEZ VP Of Finance 803-791-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC SR-0008300001-CPA) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |