| NPI | 1275061160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE NAMDAR Occupational Therapist 843-706-9367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 4615) |
| Additional Taxonomies | 2080P0008X Pediatrics Neurodevelopmental Disabilities (Licence: SC 4615) |
| 261QH0100X Clinic/Center Health Service (Licence: 4615) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-08-12 |