| NPI | 1003479395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN R WATSON Director Of Operations 843-623-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |