OrganizationActive
Blueprint for Change
NPI 1609052356 · Community/Behavioral Health Agency · Port Royal, SC
Provider details
- NPI number
- 1609052356
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Julie Tabor, Administrative Director(843) 524-6112
Specialties & taxonomies
Agencies
Practice location
1110 Paris Ave Ste a
Port Royal, SC 29935-2322
Phone: (843) 524-6112
Fax: (843) 524-6111
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Paris Ave Ste a
Port Royal, SC 29935-2322
Registry dates
- Enumerated
- 2008-01-11
- Last updated
- 2008-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.