# WIL LOU GRAY OPPORTUNITY SCHOOL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710023833
- **Authorized official:** MS. GLORIA ROBINSON (DIRECTOR OF MEDICAL SERVICES)
- **Authorized official phone:** (803) 896-6472

## Contact information

- **Practice address:** 3300 W CAMPUS RD, WEST COLUMBIA, SC 29170-2134
- **Practice address phone:** (803) 896-6480
- **Practice address fax:** (803) 896-6494
- **Mailing address:** 3300 W CAMPUS RD, WEST COLUMBIA, SC 29170-2134
- **Mailing address phone:** (803) 896-6480
- **Mailing address fax:** (803) 896-6494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | VR0001 | — | SC |