Organization
YOUTH INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC ALEXANDER (OWNER)
(803) 577-6844
Entity
Organization
Contact information
Practice address
1057 THELMA LN, LANCASTER, SC 29720-7015
(803) 577-6844
Mailing address
1057 THELMA LN, LANCASTER, SC 29720-7015
(803) 577-6844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9371
SC
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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