| NPI | 1043394976 |
|---|---|
| Other Name | CAROLINA AUTISM |
| Entity Type | Organization |
| Authorized Contact | PHIL BLEVINS Executive Director 843-573-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-05-07 |