| NPI | 1073989737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANN G LESANE Certified Adoption Specialist 843-621-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |