NPI | 1083150494 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA WINKLER Therapist 843-364-1107 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: SC 9399) |
Additional Taxonomies | 251B00000X Case Management (Licence: SC 9399) |
251K00000X Public Health or Welfare (Licence: SC 9399) | |
252Y00000X Early Intervention Provider Agency (Licence: SC 9399) | |
Enumeration Date | 2017-01-09 |
Last Update Date | 2017-01-09 |