| NPI | 1437659323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MCCORMICK EVANS Owner 843-865-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |