Andy
Organization Active NPI Community/Behavioral Health Agency · Little Rock, SC
NPI 1356887343 · NPPES record last updated Jan 13, 2017
Key facts
- NPI
- 1356887343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ANDY
- Practice address
- 2301 Worship St
Suite 3
Little Rock, SC 29567-0092 - Phone
- (843) 731-4090
- NPI assigned
- Jan 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Inetta Oetlia Robinson
- Title
- Ceo
- Phone
- (843) 731-4090
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2301 Worship St
Suite 3
Little Rock, SC 29567-0092
Mailing address
2301 Worship St
Suite 3
Little Rock, SC 29567-0092
Phone (843) 731-4090
Other providers in Little Rock, SC
All providers in Little Rock, SC · Community/Behavioral Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.