| NPI | 1104085984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPERT JAMES MCCORMAC President 864-270-6860 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NC RC03368490) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |