| NPI | 1992267066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUETTA P JENKINS Director Of Operations 803-484-9473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |