| NPI | 1053837104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE BENNETT Owner 843-694-7728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |