| NPI | 1811168651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK L BRADSHAW President 864-621-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC 218989062) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |