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Organization
UPSTATE INSTITUTE OF YOUTH PROGRAMS, INC.
Active
Organization
UPSTATE INSTITUTE OF YOUTH PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THWANDA DAVIDSON ED.D. (EXECUTIVE DIRECTOR)
(864) 376-0691
Entity
Organization
Contact information
Practice address
119 ANDREW DR, SENECA, SC 29678-2908
(864) 376-0691
Mailing address
119 ANDREW DR, SENECA, SC 29678-2908
(864) 376-0691
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
SC
Other
Enumeration date
11/08/2007
Last updated
12/10/2007
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