| NPI | 1699088070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COCCIOLONE Executive Director 864-288-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: SC 42G128) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2015-12-28 |