| NPI | 1770266454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA KEITT Owner 803-412-9514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-22 |