| NPI | 1689668428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FRANK CHISHOLM Secretary 843-679-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2022-07-21 |