| NPI | 1639697642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKISHA DAVIS CEO 864-660-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |