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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