| NPI | 1497234223 |
|---|---|
| Former Legal Business Name | KHOA VO MD LLC |
| Entity Type | Organization |
| Authorized Contact | KHOA VO Owner 843-810-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-07-03 |