| NPI | 1558823880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN HICKMAN Director Of Finance 803-778-1669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |