| NPI | 1750155974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELESLINE MILLER Owner 843-437-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |