| Crescent Early Intervention Services, Llc | |
|
809 Northwood St Columbia SC 29201-1533 | |
| (803) 467-2996 | |
| Not Available |
| Full Name | Crescent Early Intervention Services, Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 809 Northwood St, Columbia, South Carolina |
| Authorized Official Name and Position | Risley Linder (OWNER) |
| Authorized Official Contact | 8034672996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Early Intervention Services, Llc Po Box 5502 Columbia SC 29250-5502 Ph: (803) 467-2996 | Crescent Early Intervention Services, Llc 809 Northwood St Columbia SC 29201-1533 Ph: (803) 467-2996 |
| NPI Number | 1407433303 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2021 |
| Certification Date | 03/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407433303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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