| NPI | 1144782640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY VERMELAND Finance Director 843-355-5481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |