South Carolina Youth Advocate Program
NPI #1790789501 in Columbia, South Carolina
Provider Information
- NPI Number
- 1790789501
- Entity Type
- Organization
- Organization Name
- South Carolina Youth Advocate Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 9, 2005
- Last Updated
- Jun 27, 2016
Practice Location
- Address
- 140 STONERIDGE DR
- Address 2
- STE 350
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29210-8258
- Phone
- (803) 779-5500
Authorized Official
- Name
- MR. LEX COLE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (803) 779-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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