Organization
EPIPHANY FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA H MILLNER CSAC (CEO)
(704) 236-4067
Entity
Organization
Contact information
Practice address
454 ANDERSON RD S, SUITE 162, ROCK HILL, SC 29730-3392
(704) 236-4067
(803) 324-0208
Mailing address
423 N GRANARD ST, GAFFNEY, SC 29341-2345
(704) 236-4067
(803) 324-0208
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120BHS
—
SC
Enumeration date
03/23/2016
Last updated
03/23/2016
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