| NPI | 1124291414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY E. QUICK Executive Director 864-595-0515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC 102779) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-06-17 |