| NPI | 1508031006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHRA JUNE HAJIAGHAMOHSENI Behavior Analyst 843-532-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: SC 2008-071908) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |