Organization
CONNECTION PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANAKA CHANDLER (EXECUTIVE DIRECTOR)
(888) 739-1107
Entity
Organization
Contact information
Practice address
1510 SAINT ANDREWS RD APT 502, COLUMBIA, SC 29210-5937
(888) 739-1107
Mailing address
PO BOX 1813, COLUMBIA, SC 29202-1813
(888) 739-1107
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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