| NPI | 1013256080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKIE HARDY Executive Director 864-674-0458 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: SC SR-0001004332001-CCI) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC SR-0001004332001-CCI) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: SC SR-0001004332001-CCI) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |