| NPI | 1447902564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA SELENE TISDALE-SHAW Executive Director 843-355-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |