| NPI | 1487428033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALEASSA PERRY Associated Professional 803-556-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |