# GREENVILLEHEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GHS Marshall I Pickens - Childrens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629017983
- **Authorized official:** MICHAEL C. RIORDAN (PRESIDENT / CEO)
- **Authorized official phone:** (864) 797-7808

## Contact information

- **Practice address:** 701 GROVE RD, GREENVILLE, SC 29605-5611
- **Practice address phone:** (864) 455-8988
- **Mailing address:** 1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
- **Mailing address phone:** (864) 797-6307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | RTF-007 | SC | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 09/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | RTF007 | — | SC |