| NPI | 1497713457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA Q PENDARVIS Business Manager 843-462-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC 893MXH) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |