| NPI | 1831114735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BARE Asst Controller 843-572-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-06-21 |