| NPI | 1366270365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVIKUMAR PATEL Partner 864-905-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2026-06-05 |