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Organization
MYRTLE BEACH TREATMENT SPECIALISTS LLC
Active
Organization
MYRTLE BEACH TREATMENT SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY NIEMAN (DIRECTOR OF PAYER CREDENTIALING)
(513) 544-1003
Entity
Organization
Contact information
Practice address
1607 EXECUTIVE AVE, MYRTLE BEACH, SC 29577-6501
(843) 712-7316
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(843) 712-7316
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
09/03/2026
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