Organization
ENGAGE IN PLAY EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON JENNIFER YOUNG (OWNER/ EARLY INTERVENTION SPECIALIS)
(864) 297-0199
Entity
Organization
Contact information
Practice address
110 SEABURY DR, GREENVILLE, SC 29615-3318
(864) 297-0199
Mailing address
PO BOX 26774, GREENVILLE, SC 29616-1774
(864) 297-0199
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000269038
—
SC
Enumeration date
02/14/2020
Last updated
02/14/2020
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