| NPI | 1902094147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA VALENTINE VANCE Vice President 843-450-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: SC ADC-278) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |