| NPI | 1134099757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMIE CULCLASURE VAN LAAN Speech Language Pathologist 843-284-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2025-11-08 |
| Last Update Date | 2025-11-08 |