UPSTATE AFFILIATE ORGANIZATION

SPARTANBURG, SC
NPI1831639459
Doing Business AsGHS KIDNETICS - SPARTANBURG
Entity TypeOrganization
Authorized ContactSPENCE M TAYLOR
Executive Corporate
864-797-6118
Organization Subpart ?No
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
(Licence: SC  HTL-0936)
Enumeration Date2017-03-01
Last Update Date2017-03-01
Business Address
UPSTATE AFFILIATE ORGANIZATION
249 N GROVE MEDICAL PARK DR #300
SPARTANBURG, SC 29303-4227
Phone number: 864-598-0420
Mailing Address
UPSTATE AFFILIATE ORGANIZATION
1 INDEPENDENCE PT SUITE 212
GREENVILLE, SC 29615-4545
Phone number: 864-797-6307