| NPI | 1427201557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA DENT Adminstrator 803-708-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: SC 261QA0600X) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |