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Jennifer L Harris, BAPSYCHOLOGY
Methadone Clinic in Myrtle Beach, South Carolina
NPI 1831873330

Jennifer L Harris is a Methadone Clinic based in Granite Falls, SC and is specialized in Methadone. Jennifer L Harris practices in Myrtle Beach, SC and has the professional credentials of BAPSYCHOLOGY. The NPI Number for Jennifer L Harris is 1831873330 and holds a License No. (South Carolina).

The current practice location address for Jennifer L Harris is 104 George Bishop Pkwy, Myrtle Beach, SC and can be reached out via phone at 828-291-4460.

Location: 104 George Bishop Pkwy, Myrtle Beach, SC, 28630-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831873330
Provider Name
Jennifer L Harris
Credential
BAPSYCHOLOGY
Provider Entity Type
Individual
Gender
Female
Address
104 George Bishop Pkwy, Myrtle Beach, SC, 28630-1723
Phone Number
828-291-4460
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 George Bishop Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29579-7335
Phone Number
828-291-4460
Fax Number
person
Provider Business Mailing Address Details
Address
104 George Bishop Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29579-7335
Phone Number
828-291-4460
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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