| NPI | 1700646114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH ERIC BAUMGARTNER CEO 843-572-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |