| NPI | 1427614940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA EVELYN GREENE Early Interventionist 843-789-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |