| NPI | 1225445042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONDRE C. SIMPSON Owner 864-881-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 4364) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |