| NPI | 1972590156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE S NEELY Administrator 803-327-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2013-07-10 |