| NPI | 1770829772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN GIESEN Director Of Social Work 803-582-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC 4938) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |