| NPI | 1366153603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BETHUME Administrative Manager 803-534-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |