NPI | 1902791353 |
---|---|
Entity Type | Organization |
Authorized Contact | RUPERT MCCORMAC Chief Executive Officer 864-270-6860 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM1300X Clinic/Center, Multi-Specialty | |
261QM2800X Clinic/Center, Methadone Clinic | |
Enumeration Date | 2025-06-09 |
Last Update Date | 2025-06-23 |