| NPI | 1942788542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MULLINS CEO 803-205-5395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-12-13 |