| NPI | 1932256807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA VALENTINE VANCE Vice President Of Operations 843-450-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: SC ADC165) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |