| NPI | 1194231191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTYE RAVENELL Principal 803-655-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: SC ADC-0420) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |