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The Wave Of Winnsboro, Llc
Mental Illness Community Based Residential Treatment Facility in Winnsboro, South Carolina
NPI 1407633597

The Wave Of Winnsboro, Llc is a Mental Illness Community Based Residential Treatment Facility based in Clearwater, SC. The Wave Of Winnsboro, Llc practices in Winnsboro, SC. The NPI Number for The Wave Of Winnsboro, Llc is 1407633597 and holds a License No. (South Carolina).

The current practice location address for The Wave Of Winnsboro, Llc is 1403 Greenbrier Mossydale Rd, Winnsboro, SC and can be reached out via phone at 310-547-7501.

Location: 1403 Greenbrier Mossydale Rd, Winnsboro, SC, 33761-2620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407633597
Provider Name
The Wave Of Winnsboro, Llc
Credential
Provider Entity Type
Organization
Address
1403 Greenbrier Mossydale Rd, Winnsboro, SC, 33761-2620
Phone Number
310-547-7501
Fax Number
Provider Enumeration Date
09/12/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1403 Greenbrier Mossydale Rd
City
Winnsboro
State
South Carolina
Zip
29180-8932
Phone Number
310-547-7501
Fax Number
person
Provider Business Mailing Address Details
Address
1403 Greenbrier Mossydale Rd
City
Winnsboro
State
South Carolina
Zip
29180-8932
Phone Number
310-547-7501
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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