| NPI | 1912577982 |
|---|---|
| Doing Business As | PINE HEIGHTS REHABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | EDGAR JOE HOLT CEO/Clinical Director 803-752-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |