Whalio Doctors

NPI 1902149545

New Destiny Center INC

Organisation Foster Care Agency Tillman, SC

Practice location

Address
406 Cal Causeway Rd, Tillman, SC 29943-2940
Phone
(843) 717-1765
Mailing address
PO Box 1018, Ridgeland, SC 29936-2617

Authorised official

Name
Y. Lashawn Murray
Title
Executive Director
Phone
(843) 717-1765

Registered specialties

Foster Care Agency Primary
Agencies Taxonomy 253J00000X Licence SR-0001022691001-CCI (SC)

Registry record

NPI
1902149545
Entity type
Organization
NPI issued
2 Apr 2013
Record last updated
2 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.