# A SUCCESS STORY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285825448
- **Authorized official:** DEMIAN JERARD EDWARDS (PRESIDENT)
- **Authorized official phone:** (864) 906-6645

## Contact information

- **Practice address:** 25 FLEETWOOD DR, GREENVILLE, SC 29605-1510
- **Practice address phone:** (864) 906-6645
- **Mailing address:** 10 FLEETWOOD DR, GREENVILLE, SC 29605-1511
- **Mailing address phone:** (864) 906-6645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 08/05/2007