| NPI | 1750703815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE RICHARDSON Executive Director 843-871-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |