NPI | 1962726380 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY BAILLEY Chief Operating Officer 864-527-1250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC NC-AW00001420) |
251S00000X (Licence: NC MHL-011-246) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2010-03-15 |
Last Update Date | 2024-02-27 |