| NPI | 1710690912 |
|---|---|
| Doing Business As | ENVISION WELLNESS MEDICAL GROUP IOP |
| Entity Type | Organization |
| Authorized Contact | LISA ROBERTS Office Manager 803-256-0101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |