SOUTH CAROLINA MENTOR

CHARLESTON, SC
NPI1972845196
Entity TypeOrganization
Authorized ContactJENNIFER MARY POOLE
Behavioral Consultant
843-513-0040
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
(Licence: SC  1-13-12976)
Additional Taxonomies252Y00000X Early Intervention Provider Agency
(Licence: SC  1-13-12976)
Enumeration Date2013-03-26
Last Update Date2013-03-26
Business Address
SOUTH CAROLINA MENTOR
4 CARRIAGE LN SUITE 302
CHARLESTON, SC 29407-6065
Phone number: 843-573-1905
Mailing Address
SOUTH CAROLINA MENTOR
4 CARRIAGE LN SUITE 302
CHARLESTON, SC 29407-6065
Phone number: 843-573-1905