NPI | 1528121894 |
---|---|
Doing Business As | FRESH START |
Entity Type | Organization |
Authorized Contact | WILLIAM T. O'CONNOR Executive Director 843-423-9292 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: SC ITP-023) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: SC ITP-023) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2008-05-21 |