| NPI | 1255226205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIA WILSON Owner 803-509-4938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |