| NPI | 1821690108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEIKA ARDRELL MARTIN CEO/President 843-817-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2021-10-13 |