| NPI | 1992047732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUVINIA COLE Director 803-883-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |