| NPI | 1578965836 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | ROBERT R WHITE Treasurer 843-681-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2022-02-17 |