| NPI | 1033181110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M. BOORMAN Clinical Director/Owner 843-797-5167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2026-07-15 |