| NPI | 1669030946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TCHALLA Y DOUGLAS Owner/Early Intervention Supervisor 843-230-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |