Provider Demographics
NPI:1578965836
Name:PROGRAMS FOR EXCEPTIONAL PEOPLE
Entity Type:Organization
Organization Name:PROGRAMS FOR EXCEPTIONAL PEOPLE
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-681-8413
Mailing Address - Street 1:39 SHERIDAN PARK CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6052
Mailing Address - Country:US
Mailing Address - Phone:843-681-8413
Mailing Address - Fax:
Practice Address - Street 1:39 SHERIDAN PARK CIR STE 2
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6052
Practice Address - Country:US
Practice Address - Phone:843-681-8413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251C00000X, 251S00000X
320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health