| NPI | 1720018047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA COX Director Of Clinical Support Servic 864-542-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC SR-008040001-CCI) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC SR-1004333001-GH) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-08-21 |