| NPI | 1528585486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPERT MCCORMAC President 864-527-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |