| NPI | 1790054443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ABUSHAKRA Speech Language Pathologist 843-491-3572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2017-03-15 |