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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIVA LODGE

Active Organization

KIVA LODGE is a Adult Mental Health Clinic organization located in BLYTHEWOOD, South Carolina. NPI 1366764870 is currently active in the NPPES registry. Verify at CMS.

Adult Mental Health Clinic · BLYTHEWOOD, SC

Registration Details

NPI Number
1366764870
Provider Type
Organization
NPI Issued
Feb 25, 2010 (16.513093191844 yrs)
Last Updated
Feb 25, 2010

Practice Information

Address
200 CLAUDE BUNDRICK RD
BLYTHEWOOD, SC, 290169420
Browse SC providers · Browse ZIP 29016
Phone
8037545478
Primary Specialty
Adult Mental Health Clinic
261QM0850X
Additional Specialty
Adult Mental Health Clinic

Other Adult Mental Health Clinic Organizations in BLYTHEWOOD, SC

Name NPI
PBA COUNSELING 1407644297
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.