| NPI | 1184055543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE ROBIN THOMPSON Director 864-260-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 252Y00000X Early Intervention Provider Agency | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |