| NPI | 1619047974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MCKELVEY CEO 843-884-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC SR0008106001CCI) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |