| NPI | 1184757619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA GREEN CARNER President 803-647-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 09428) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-07-01 |