| NPI | 1912358144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M. MUIRHEAD Executive Director 843-654-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QA3000X Clinic/Center, Augmentative Communication | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-06-25 |