| NPI | 1235733809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENOLA LAVERNE COOKS Chief Book Keeper 803-278-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |