| NPI | 1730998345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DOTY SIEBO Chief Executive Officer 803-497-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |