| NPI | 1215454913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DEVLIN Executive Director 803-420-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |