| NPI | 1205297967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A. SPATEHOLTS Chief Officer Rm & Compliance 843-200-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |