Organization
PINK ELEPHANT AUTISM PROJECT
Active
Other names
Pink Elephant Autism Project
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUETA JOHNSON (CEO)
(803) 308-0586
Entity
Organization
Contact information
Practice address
8738 RED OAK DRIVE, CHARLESTON, SC 29406
(803) 308-0586
Mailing address
PO BOX 831, LADSON, SC 29456-0831
(803) 308-0586
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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