| NPI | 1912229634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA PATRICE ELLIOTT Director Of Client Services 803-446-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |