| NPI | 1336801489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPERT JAMES MCCORMAC President 864-527-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QM2800X Clinic/Center Methadone | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |