| NPI | 1750108288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTA G COLLINS Operations Manager 843-926-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |