| NPI | 1447786710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SEVERANCE CEO 843-724-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |