Organization
E-CITY'S UNBROKEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSEY HANKS (EXECUTIVE DIRECTOR)
(864) 238-6394
Entity
Organization
Contact information
Practice address
2315 N MAIN ST STE 221B, ANDERSON, SC 29621-3888
(864) 238-6394
Mailing address
2315 N MAIN ST STE 221B, ANDERSON, SC 29621-3888
(864) 238-6394
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
225C00000X
Rehabilitation Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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