| NPI | 1861159287 |
|---|---|
| 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) |
| 101YM0800X Counselor Mental Health | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |