NPI | 1700406998 |
---|---|
Entity Type | Organization |
Authorized Contact | MAZIE ELIZABETH GRAHAM Partner 843-240-2061 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2020-04-17 |
Last Update Date | 2020-04-17 |