| NPI | 1104564384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY OLIVIA MARTIN President 803-260-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |