Organization
AMIKIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEYWARD GOLDEN (VICE PRESIDENT OF OPERATIONS)
(813) 887-3300
Entity
Organization
Contact information
Practice address
742 T BISHOP RD, JONESVILLE, SC 29353-2342
(864) 674-0458
(864) 674-0460
Mailing address
742 T BISHOP RD, PO BOX 617, JONESVILLE, SC 29353-2342
(864) 674-0458
(864) 674-0460
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
SC
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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