NPI | 1770890485 |
---|---|
Entity Type | Organization |
Authorized Contact | JOETTE KIZER CEO 843-851-0079 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: SC RTF-0026) |
Enumeration Date | 2010-09-02 |
Last Update Date | 2010-09-02 |