| NPI | 1912173733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R KESSLER, JR Executive Director 803-790-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC SR-00019238011CCI) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2015-03-23 |