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Organization
FUTURE GEMS GREENVILLE ENTREPRENEUR MENTORSHIP
Active
Organization
FUTURE GEMS GREENVILLE ENTREPRENEUR MENTORSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA T STEVENSON (PRESIDENT)
(267) 671-2311
Entity
Organization
Contact information
Practice address
133 ARNOLD MILL RD, SIMPSONVILLE, SC 29680-7293
(267) 671-2311
(864) 412-7989
Mailing address
133 ARNOLD MILL RD, SIMPSONVILLE, SC 29680-7293
(267) 671-2311
(864) 412-7989
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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