| NPI | 1982905477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA M. LEWIS COO 803-840-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |