| NPI | 1760872352 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENEEN MIDDLETON Owner 843-277-1181  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency | 
| Additional Taxonomies | 251B00000X Case Management | 
| Enumeration Date | 2015-02-03 | 
| Last Update Date | 2015-02-03 |