| NPI | 1992475941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUPERT JAMES MCCORMAC President 864-527-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |