NPI 1790820041

Marion-Dillon County Board of Disabilities and Special Needs

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Marion, SC

Practice location

Address: 400 Ml King Drive, Marion, SC 29571-1082
Phone: (843) 423-4484
Fax: (843) 423-0857
Mailing address: 400 Ml King Drive PO Box 1082, Marion, SC 29571-1082

Authorised official

Name: Gary Michael Keith
Title: Executive Director
Phone: (843) 423-4484

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence CRC-1377 (SC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in South Carolina →

Registry record

NPI: 1790820041
Entity type: Organization
NPI issued: 21 Feb 2007
Record last updated: 22 Aug 2020

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.