| NPI | 1780063289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE H MCCRAY Clinicial Services Coordinator 843-664-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 19477) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |