NPI | 1578603791 |
---|---|
Other Name | DJJ BEAUFORT MARINE INSTITUTE |
Entity Type | Organization |
Authorized Contact | MIA L RICHARDSON Medicaid Project Administrator 803-896-4751 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |