| NPI | 1538042015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NELSON Managing Member 864-353-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-09-16 |