| NPI | 1134064397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WATSON Owner 803-203-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251V00000X Voluntary or Charitable | |
| 251F00000X Home Infusion | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QV0200X Clinic/Center, VA | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2026-04-22 |
| Last Update Date | 2026-04-22 |