| NPI | 1528140373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LAUGHTER Administrator 803-736-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 17898) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |