NPI 1043394976

Carolina Autism Supported Living Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Charleston, SC

Practice location

Address: 4 Carriage Ln STE 302, Charleston, SC 29407-6050
Phone: (843) 573-1905
Fax: (843) 573-1926

Authorised official

Name: Phil Blevins
Title: Executive Director
Phone: (843) 573-1905

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in South Carolina →

Developmental Disabilities Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QD1600X

Other Clinic/Center providers in South Carolina →

Registry record

NPI: 1043394976
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 7 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.