| NPI | 1124079751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI BATES PUCKETT Director 864-429-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: SC ADC-251) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |