| NPI | 1952964199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRECHIA D CANADY Executive Director 803-653-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2019-04-14 |