| Kiva Lodge | |
|
200 Claude Bundrick Rd Blythewood SC 29016-9420 | |
| (803) 754-5478 | |
| Not Available |
| Full Name | Kiva Lodge |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 200 Claude Bundrick Rd, Blythewood, South Carolina |
| Authorized Official Name and Position | Ruth Z Tyler (CARE PROVIDER) |
| Authorized Official Contact | 8037545478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiva Lodge 11 S Firetower Ct Blythewood SC 29016 Ph: (803) 754-2328 | Kiva Lodge 200 Claude Bundrick Rd Blythewood SC 29016-9420 Ph: (803) 754-5478 |
| NPI Number | 1366764870 |
|---|---|
| Provider Enumeration Date | 02/25/2010 |
| Last Update Date | 02/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366764870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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