NPI | 1942445051 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA M. VELASCO Administrator/Owner 843-853-6885 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC CRC 1123) |
Enumeration Date | 2008-12-04 |
Last Update Date | 2008-12-04 |