| NPI | 1265895320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA THOMAS Owner 864-266-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 2916) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |