Blueprint for Change
NPI #1609052356 in Port Royal, South Carolina
Provider Information
- NPI Number
- 1609052356
- Entity Type
- Organization
- Organization Name
- Blueprint for Change
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 11, 2008
- Last Updated
- Jan 11, 2008
Practice Location
- Address
- 1110 PARIS AVE STE A
- City
- Port Royal
- State
- South Carolina
- ZIP Code
- 29935-2322
- Phone
- (843) 524-6112
Authorized Official
- Name
- MRS. JULIE SINGLETON TABOR, CACII, LICDC
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (843) 524-6112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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