| NPI | 1457121634 |
|---|---|
| Doing Business As | TOWN SQUARE FORT MILL |
| Entity Type | Organization |
| Authorized Contact | KELLI P GAGNE Owner 803-591-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |