NPI 1770890485

Pinelands Group Home, INC.

Organisation Psychiatric Residential Treatment Facility Summerville, SC

Practice location

Address: 201 E Luke Ave, Summerville, SC 29483-6834
Phone: (843) 851-0079

Authorised official

Name: Joette Kizer
Title: Ceo
Phone: (843) 851-0079

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence RTF-0026 (SC)

Other Psychiatric Residential Treatment Facility providers in South Carolina →

Registry record

NPI: 1770890485
Entity type: Organization
NPI issued: 2 Sep 2010
Record last updated: 2 Sep 2010

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.