| NPI | 1497290852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABREEN JOHNSON Administrator 803-397-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC 123598) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2023-04-17 |