| NPI | 1699519108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA B. RIVERS Owner/Early Interventionist 843-287-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |