| 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 |