KIVA LODGE

BLYTHEWOOD, SC
NPI1366764870
Other NameMENTAL HEALTH OF SOUTH CAROLINA
Entity TypeOrganization
Authorized ContactRUTH Z TYLER
Care Provider
803-754-5478
Organization Subpart ?Yes
Primary Taxonomy261QM0850X Clinic/Center Adult Mental Health
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2010-02-25
Last Update Date2010-02-25
Business Address
KIVA LODGE
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC 29016-9420
Phone number: 803-754-5478
Mailing Address
KIVA LODGE
11 S FIRETOWER CT
BLYTHEWOOD, SC 29016
Phone number: 803-754-2328