Organization
MIDLANDS AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE R. TURBERVILLE (DIRECTOR)
(803) 378-7796
Entity
Organization
Contact information
Practice address
123 ACADEMY RD, ST MATTHEWS, SC 29135-8030
(803) 378-7796
Mailing address
123 ACADEMY RD, ST MATTHEWS, SC 29135-8030
(803) 378-7796
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX7378
—
SC
Enumeration date
07/28/2008
Last updated
07/28/2008
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