| NPI | 1538153069 |
|---|---|
| Doing Business As | LRADAC |
| Entity Type | Organization |
| Authorized Contact | LINDA G AYCOCK President & CEO 803-726-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice |
| 291U00000X Clinical Medical Laboratory | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2019-05-15 |