| NPI | 1124524194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY D ANDERSON CEO 803-504-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-07-02 |