| NPI | 1346571338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GEORGE GOLDIZEN President 864-601-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 3498) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |