NPI | 1962721886 |
---|---|
Entity Type | Organization |
Authorized Contact | GLEN WINSTEAD Clinical Director 803-779-0354 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: SC 5133) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2010-05-18 |