| NPI | 1902467913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY LOUISE BAILLEY Member 864-527-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2022-05-03 |