| NPI | 1679455620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROLL KAMYK Early Intervention Supervisor 843-509-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |