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Organization
CAROLINA FAMILY ADULT SERVICES LLC
Active
Organization
CAROLINA FAMILY ADULT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MICHELLE RUIZ (DIRECTOR OF FINANCE)
(864) 357-2152
Entity
Organization
Contact information
Practice address
301 ANDERSON ST, GREENVILLE, SC 29601-4022
(864) 283-0637
Mailing address
17 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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