| NPI | 1568714962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT HAYNES Director 803-238-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 174H00000X Health Educator | |
| 251300000X Local Education Agency (LEA) | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 302R00000X Health Maintenance Organization | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |