| NPI | 1497541007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPAL PATEL Psychiatric Nurse Practitioner 803-760-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-09-05 |