| NPI | 1336579515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLOAN TODD Owner 843-203-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2019-03-21 |