OrganizationActive
Marion-Dillon County Board of Disabilities and Special Needs
NPI 1790820041 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Marion, SC
Provider details
- NPI number
- 1790820041
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gary Keith, Executive Director(843) 423-4484
- License
- CRC-1377 (SC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense CRC-1377 (SC)
Residential Treatment Facilities
Practice location
400 Ml King Drive
Marion, SC 29571-1082
Phone: (843) 423-4484
Fax: (843) 423-0857
Approximate (ZIP-level) locationGet directions
Mailing address
400 Ml King Drive
Marion, SC 29571-1082
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.