| NPI | 1346307899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D. MOEN Executive Director 803-438-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC SR0008132001CCI) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |