| NPI | 1972186112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAMOND S CAIN Program Director 843-799-7079 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |