| NPI | 1487653606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HAIGH BOYNE Director 843-470-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |