Organization
ABS/NEW HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANN SAVILLA DDG (IT/DEVELOPER/X12)
(843) 762-6632
Entity
Organization
Contact information
Practice address
225 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 851-5015
(843) 851-5029
Mailing address
302A MIDLAND PKWY, SUMMERVILLE, SC 29485-8102
(843) 851-5015
(843) 851-5029
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
RTC-017
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RTF003
—
SC
Enumeration date
07/21/2006
Last updated
08/22/2020
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