| NPI | 1326602319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOISE W PEA Executive Director/Owner 864-612-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |