| NPI | 1982839569 |
|---|---|
| Doing Business As | CLIFFORD A. COUNTS |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD ALAN COUNTS Owner / Administrator 803-735-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: SC CRC-1467) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |