| NPI | 1033618301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY MANN Owner 864-809-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-10-11 |