| NPI | 1437924438 |
|---|---|
| Doing Business As | LRADAC |
| Entity Type | Organization |
| Authorized Contact | GENEVA BUSH Director, Patient Accounts 803-726-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |