| NPI | 1104954361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTTIE M EVANS Administrator 843-387-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: SC ADC 206) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |