Organization · Type 2 NPI
Greater Alliance Behavioral Health
Psychiatric/Mental Health Registered Nurse · Indian Land, SC
NPI number
1639851132
Active
Practice location
6037 Landry Ln
Indian Land, SC 29707-6060
Fax (704) 817-1470
Mailing address
8180 Regent Pkwy Ste 109
Fort Mill, SC 29715-8417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1639851132
Greater Alliance Behavioral Health's National Provider Identifier is 1639851132, issued on Aug 3, 2023. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Indian Land, SC. The record was last updated on Nov 20, 2023.