| NPI | 1235762519 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHARON JENNIFER YOUNG Owner/ Early Intervention Specialis 864-297-0199 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency | 
| Additional Taxonomies | 251B00000X Case Management | 
| Enumeration Date | 2020-02-14 | 
| Last Update Date | 2020-02-14 |