| NPI | 1831114735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH ERIC BAUMGARTNER CEO 843-572-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-06-12 |