NPI | 1396064382 |
---|---|
Entity Type | Organization |
Authorized Contact | HAYLEE D MITCHELL Owner, Occupational Therapist 803-319-7723 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: SC 3240) |
Enumeration Date | 2010-05-31 |
Last Update Date | 2018-10-17 |