| NPI | 1508017476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN J. SHORT President 864-313-6967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: SC RTF-0020) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |