| NPI | 1710944087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOETTE KIZER Executive Director 843-851-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC SR-0008195001-CC1) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |