Organization
MY PEACE KEEPER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA B FRANKLIN (DIRECTOR OF OPERATION)
(704) 910-7711
Entity
Organization
Contact information
Practice address
3056 HAWICK LN, INDIAN LAND, SC 29707-7780
(704) 910-7711
Mailing address
3056 HAWICK LN, INDIAN LAND, SC 29707-7780
(704) 910-7711
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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