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Organization

UPSTATE TREATMENT SPECIALISTS LLC

Active
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Organization

UPSTATE TREATMENT SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY MARIE NIEMAN (DIRECTOR OF PAYER CREDENTIALING)
(513) 544-1003
Entity
Organization

Contact information

Practice address
7092 HOWARD ST, UNIT E, SPARTANBURG, SC 29303
(864) 616-5031
(864) 407-4155
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(864) 616-5031
(864) 407-4155

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary

Other

Enumeration date
01/09/2024
Last updated
09/03/2026
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