| NPI | 1740150150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALEASSA PERRY Co Owner 803-556-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |