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Organization
CHOSEN ONES BY GOD
Active
Organization
CHOSEN ONES BY GOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMARCO RESHARD RYAN (DIRECTOR)
(864) 323-2723
Entity
Organization
Contact information
Practice address
811 CHACE AVE, GREENWOOD, SC 29646-4491
(864) 323-2723
Mailing address
811 CHACE AVE, GREENWOOD, SC 29646-4491
(864) 323-2723
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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