| NPI | 1447491105 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | CHANDRA DENISE WILLIAMS Owner/Qmhp 803-207-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC 0601087) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |