| NPI | 1588823900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE MILLER State Director 803-799-9025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2012-12-31 |