| NPI | 1063750941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN REDD Executive Director 843-549-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: SC RC1527) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |