| NPI | 1356584155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINE A. SMITH Owner 803-465-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC 2008-36502-35667) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2015-08-27 |