Organization
PEEK-A-BOO EARLY INTERVENTION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOMEIKA ARDRELL MARTIN (CEO/PRESIDENT)
(843) 817-7112
Entity
Organization
Contact information
Practice address
4975 LACROSS RD STE 101A, NORTH CHARLESTON, SC 29406-6523
(843) 790-0964
Mailing address
4975 LACROSS RD STE 101A, NORTH CHARLESTON, SC 29406-6523
(843) 790-0964
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
10/13/2021
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