| NPI | 1265841001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PREIST Program Manager 843-237-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: SC OTA.3001 OTA) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |