| NPI | 1659529717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME PREZZY Director Of Operations 803-799-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: SC WP9902) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |