| NPI | 1598281255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ S. BAYSDEN Executive Director 864-260-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SC P47455) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |