| NPI | 1881196186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON ELIZABETH SMITH Owner 803-327-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |