Provider First Line Business Practice Location Address:
SWCMHC/CAROLINA PLACE, 525 NORTH LAFAYETTE DR.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUMTER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29151-1946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-775-6293
Provider Business Practice Location Address Fax Number:
803-775-7593
Provider Enumeration Date:
05/11/2006