| NPI | 1689828097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA MICHELLE DOUGLAS Executive Director 843-814-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2012-01-30 |