| NPI | 1285146613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFNEY DAVIDSON PARKER Founder/Owner 864-540-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2023-05-23 |