Organization
ACCELERATE EARLY INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MCALISTER BROACH MSP, CCC/SLP (OWNER)
(843) 409-2585
Entity
Organization
Contact information
Practice address
515 FULMORE RD, LAKE CITY, SC 29560-7903
(843) 409-2585
Mailing address
515 FULMORE RD, LAKE CITY, SC 29560-7903
(843) 409-2585
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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