NPI | 1235592072 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA JEAN JOHNSTON Owner 843-696-0819 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2016-03-30 |
Last Update Date | 2016-03-30 |