NPI | 1972863496 |
---|---|
Other Name | CARTER J STREET |
Entity Type | Organization |
Authorized Contact | SIVI BURNS DANIELS Lpn 803-419-1526 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC PR 38235) |
Enumeration Date | 2012-05-17 |
Last Update Date | 2012-05-25 |