| NPI | 1962807560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ROCHELLE KLOPP-SILVA Owner 864-292-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 2548) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |