NPI | 1629733779 |
---|---|
Entity Type | Organization |
Authorized Contact | RUPERT JAMES MCCORMAC President 864-527-3145 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
261QM0850X Clinic/Center Adult Mental Health | |
261QM2800X Clinic/Center Methadone | |
Enumeration Date | 2021-11-03 |
Last Update Date | 2021-11-03 |