| NPI | 1336588243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE FIELDS Administrator 843-554-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: SC 12184-C07) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |