| NPI | 1639415920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN GIESEN Director Of Social Work 803-896-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC 5322) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |