| NPI | 1831228105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SALE Administrator 843-216-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: SC adc228) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |