| NPI | 1245907039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAYLA WHITE Early Intervention Specialist 843-503-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |