Organization · Type 2 NPI

Potter's House Palmetto, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Lincolnville, SC

NPI number 1205297967 Active

Practice location

104 E Berry St
Lincolnville, SC 29485-7204

Mailing address

2414 Clement's Ferry Rd.
Charleston, SC 29429

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1205297967

Potter's House Palmetto, Inc.'s National Provider Identifier is 1205297967, issued on Mar 9, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Lincolnville, SC. The record was last updated on Mar 9, 2016.