| NPI | 1447710652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMETRIE SINGLETARY Administrator 843-424-7508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-02-23 |