institution
Pavillon Greenville Outpatient Services
Substance Use Disorder Rehabilitation Clinic/Center in Greenville, South Carolina
NPI 1780934976

Pavillon Greenville Outpatient Services is a Substance Use Disorder Rehabilitation Clinic/Center based in Greenville, SC and is specialized in Rehabilitation, Substance Use Disorder. Pavillon Greenville Outpatient Services practices in Greenville, SC. The NPI Number for Pavillon Greenville Outpatient Services is 1780934976 and holds a License No. OTP 0102 (South Carolina).

The current practice location address for Pavillon Greenville Outpatient Services is 101 Pelham Commons Blvd, Greenville, SC and can be reached out via phone at 864-241-6688 and via fax at 864-241-6682. You can also correspond with Pavillon Greenville Outpatient Services through the mailing address at 101 PELHAM COMMONS BLVD, GREENVILLE, SC - 29615-4974 (mailing address contact number: 864-241-6688).

Location: 101 Pelham Commons Blvd, Greenville, SC, 29615-4974
institution
Provider Profile Details
NPI Number
1780934976
Provider Name
Pavillon Greenville Outpatient Services
Credential
Provider Entity Type
Organization
Address
101 Pelham Commons Blvd, Greenville, SC, 29615-4974
Phone Number
864-241-6688
Fax Number
864-241-6682
Provider Enumeration Date
09/14/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023345139 01 SC NPI
institution
Provider Business Practice Location Address Details
Address
101 Pelham Commons Blvd
City
State
Zip
29615-4974
Phone Number
864-241-6688
Fax Number
864-241-6682
person
Provider Business Mailing Address Details
Address
101 Pelham Commons Blvd
City
State
Zip
29615-4974
Phone Number
864-241-6688
Fax Number
864-241-6682
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
OTP 0102 (South Carolina)
Definition
Definition to come...
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