| NPI | 1376254359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE PELZER Clinical Counselor 803-534-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |