| NPI | 1578719043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHIE DAVELL BARNES Administrator 803-699-5361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC RC0800) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |