| NPI | 1609146653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BERKOWITZ Manger 864-225-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 3151) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |