| NPI | 1013602093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUY VOLLAND Managing Member 864-334-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-09-19 |