| NPI | 1861047706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONIQUE MARGUERITE SMALLS COMRIE Executive Director 803-904-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |