| NPI | 1124576277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FAUST CEO 803-603-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |