| NPI | 1053735936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BARRELL Owner/Speech Language Pathologist 843-645-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC 4726) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |