| NPI | 1023617941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDRA NICOLE KETTER Executive Director 843-616-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251X00000X | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 251B00000X Case Management | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-11-11 |