| NPI | 1639705106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIN BLUM Owner 843-637-6418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-02-28 |