Organization
PAVILLON GREENVILLE OUTPATIENT SERVICES
Active
Organization
PAVILLON GREENVILLE OUTPATIENT SERVICES
Active
Parent organization
PAVILLON INTERNATIONAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAVILLON INTERNATIONAL
Authorized official
CINDY KEATOR (BILLING)
(828) 694-2337
Entity
Organization
Contact information
Practice address
103 PELHAM COMMONS BLVD, GREENVILLE, SC 29615-4974
(864) 241-6688
(866) 990-3066
Mailing address
103 PELHAM COMMONS BLVD, GREENVILLE, SC 29615-4974
(864) 241-6688
(866) 990-3066
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTP-0102
SC
Other
Enumeration date
11/10/2009
Last updated
07/30/2024
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