NPI | 1811234206 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARENCE STEWART DARBY Owner 803-606-1738 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC A440) |
Enumeration Date | 2013-01-06 |
Last Update Date | 2013-01-06 |