Organization
COLUMBIA URBAN LEAGUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T MCLAWHORN JR. (PRESIDENT AND CEO)
(803) 799-8150
Entity
Organization
Contact information
Practice address
1400 BARNWELL ST, COLUMBIA, SC 29201-3512
(803) 799-8150
(803) 254-6052
Mailing address
1400 BARNWELL ST, P.O. BOX 50125, COLUMBIA, SC 29201-3512
(803) 799-8150
(803) 254-6052
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MC0053
SC
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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