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, Mental Retardation and/or Developmental Disabilities | |
Enumeration Date | 2023-08-09 |
Last Update Date | 2023-08-22 |