| NPI | 1225346737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY DEANNE BRIGMAN Owner And Medical Director 803-957-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: SC 23497) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |