NPI | 1962805291 |
---|---|
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 | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
3336C0002X Pharmacy, Clinic Pharmacy (Licence: SC 15109) | |
Enumeration Date | 2014-10-01 |
Last Update Date | 2024-02-27 |