| NPI | 1164927166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIKA LAVET WALLACE Program Director 864-469-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: SC ADC-0432) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2019-08-26 |