| NPI | 1780934976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE FRYAR Program Manager 864-241-6688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: SC OTP 0102) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2015-03-11 |