Organization
COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.
Active
Other names
Youth & Family Service Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN WILLIAMS (EXECUTIVE DIRECTOR)
(843) 229-8504
Entity
Organization
Contact information
Practice address
106 E THOMAS ST, LAKE CITY, SC 29560-2639
(843) 229-8504
(866) 285-0122
Mailing address
106 E THOMAS STREET, LAKE CITY, SC 29560
(843) 229-8504
(866) 285-0122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
08/05/2007
Last updated
10/27/2007
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