| NPI | 1154566255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA INFINGER BOYLESTON Company Co Owner/ Psychologist 803-531-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC 3287) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |