| NPI | 1881991008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUIANA MESHELL DIXON Owner 803-720-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 5084) |
| 1041C0700X Social Worker, Clinical (Licence: NC C005158) | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-06-24 |