| NPI | 1720703879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEKINAH A LEE-GALLOWAY Executive Director 864-309-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QV0200X Clinic/Center VA | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |