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Organization
RECOVERY CONCEPTS OF CAROLINA UPST LLC
Active
Organization
RECOVERY CONCEPTS OF CAROLINA UPST LLC
Active
Other names
RECOVERY CONCEPTS OF CAROLINA UPST LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GAJENDRA BAFNA RPH (PIC)
(864) 306-8533
Entity
Organization
Contact information
Practice address
1653 E MAIN ST, EASLEY, SC 29640-3791
(864) 306-8533
(864) 306-8513
Mailing address
1653 E MAIN ST, EASLEY, SC 29640-3791
(864) 306-8533
(864) 306-8513
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093317
PK
—
Enumeration date
12/26/2006
Last updated
04/03/2024
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