| NPI | 1972961910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA MARIA NORENA COO 843-870-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: SC 0000) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |