NPI | 1073273348 |
---|---|
Entity Type | Organization |
Authorized Contact | ELAINE THENA Executive Director 864-644-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X |
Enumeration Date | 2021-12-28 |
Last Update Date | 2021-12-28 |