NPI | 1568937647 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA FRANCIS Administrator 864-757-8561 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2018-10-04 |
Last Update Date | 2019-08-08 |