OrganizationActive
The Eligibility Group
NPI 1689402778 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Irmo, SC
Provider details
- NPI number
- 1689402778
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Thomas Mcneill, Owner(347) 502-8068
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
902 Riverwalk Way
Irmo, SC 29063-9367
Phone: (347) 502-8068
Approximate (ZIP-level) locationGet directions
Mailing address
902 Riverwalk Way
Irmo, SC 29063-9367
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.